Implementing a Narrative Medicine Curriculum During the Internship Year: An Internal Medicine Residency Program Experience

Perm J. 2018:22:17-187. doi: 10.7812/TPP/17-187.

Abstract

Introduction: Narrative medicine develops professional and communication skills that align with Accreditation Council for Graduate Medical Education competencies. However, little is known about a narrative medicine curriculum's impact on physicians in training during residency. Implementing a narrative medicine curriculum during residency can be challenging because of time constraints and limited opportunity for nonclinical education.

Methods: Six sessions were implemented throughout one academic year to expose first-year internal medicine residents (interns) to narrative medicine. Attendance and participation were documented. At the end of the year, interns completed an open-ended survey to gauge their perception of their experience with the sessions.

Results: In total, 17 interns attended at least 1 narrative medicine session, and each session averaged 5.4 attendees. Thirteen eligible interns completed the survey. Thematic analysis identified 3 predominant themes: Mindfulness, physician well-being, and professionalism.

Discussion: Overall, the narrative medicine sessions were well attended and the curriculum was well received. This intervention demonstrates the value of a narrative medicine curriculum during medical resident training. Large prospective studies are necessary to identify the long-term benefits of such a curriculum.

MeSH terms

  • Communication
  • Curriculum
  • Female
  • Health Status
  • Humans
  • Internal Medicine / education*
  • Internship and Residency / organization & administration*
  • Male
  • Mindfulness
  • Narrative Medicine / organization & administration*
  • Professionalism
  • Prospective Studies